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Get MD DHR/SSA 1279A 2016

HR/SSA 1279A Side 2 (02/2016 edition) (All other versions are obsolete) . PART VI: BACKGROUND CLEARANCE FINDINGS (for Local Department or DHR use only) Applicant’s Name: MD CHESSIE ID#: 1. Active investigation 2. Sent to DHR or Local Department of Social Services: Name: Date: 3. We have determined that is listed in the state’s database as being responsible for an Indicated / investigation conducted in Investigation #: Unsubstantiated disposition of Abuse / Neglect in reference to an .

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